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On 1st September, 1917, I attended a primipara aet. 33 .
When I first examined there was already marked caput, and
I wrongly diagnosed a normal presentation. After eighteen
hours I applied forceps ineffectually. I could not move the
head, and the forceps slipped off. Under deep anaesthesia,
however, I found an ear, and found I had a persistent
occipito-posterior presentation, pushed the head up, turned
it into position, slipped up one blade of the forceps while still
holding the head, then applied the other, and had the child
born in about ten minutes without a tear of the perinaeum.
He weighted rather over 9lb., had slight facial paralysis on
the right side for about a week, and was unable to suck, but
was fed on breast milk drawn off and given by a spoon. The
midwife reported regular motions for two weeks; indeed, she
never took a clean napkin off him. During the next five days
his motions gradually ceased and he began to vomit green,
slimy material resembling green motions. I was called in
again on the 17th by the Plunket Nurse, and again on the 18th.
On the 19th I examined him per rectum in the morning, but
could feel no tumour. I saw him again at night, and finally
decided he must have obstruction, and sent him into hospital.
He had been on water only for three days, and had had both
stomach and bowel washed out on several occasions.
Intestinal Obstruction by a Band in an Infant
Nineteen Days Old—End-to-End Union—Recovery
December 1917
By W. M . THOMSON, M.A., M.B.
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100 YEARS AGO
43
Baby in wicker pram. Watt, T (Miss), fl 1978 :Photographs of Wellington and Napier scenes. Ref:
1/2-080571-F . Alexander Turnbull Library, Wellington, New Zealand. /records/22840733